Riley Jared Hicks in Jackson - Oral And Maxillofacial Surgery
Riley Jared Hicks - NPI 1659368447
Riley Jared Hicks is a Oral And Maxillofacial Surgery in Jackson, . Riley Jared Hicks practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Riley Jared Hicks is 1659368447. The last update date is 2022-04-20.
Riley Jared Hicks's current location address is Po Box 11606, Jackson, . You can contact this provider via phone number 3076905990 and fax number 2085286399. The mailing address for Riley Jared Hicks is Po Box 11606, Jackson, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Riley Jared Hicks |
|---|---|
| Address | Po Box 11606, Jackson, |
| Phone Number | 3076905990 |
| Fax Number | 2085286399 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1659368447 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2022-04-20 |
Provider Mailing Address Detail
| Address | Po Box 11606 |
|---|---|
| City | Jackson |
| State | (WY) |
| Post Code | 830021606 |
| Phone Number | 3076905990 |
| Fax Number | 2085286399 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D-3314-OS |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique 10-digit identifier code assigned to Riley Jared Hicks by the Centers for Medicare & Medicaid Services?
The Riley Jared Hicks has been issued the NPI (National Provider Identifier) 1659368447 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Riley Jared Hicks's physical address?
The Riley Jared Hicks is physically located at Po Box 11606, in the city of Jackson, WY, with the postal code 830021606.
What is Riley Jared Hicks's specialized field of practice, and what is the corresponding taxonomy classification code?
The Riley Jared Hicks's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date was the 1659368447 assigned to Riley Jared Hicks?
The Riley Jared Hicks was issued its 1659368447 on 2005-10-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Riley Jared Hicks's information last updated?
The Riley Jared Hicks's information was last updated on 2022-04-20.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH